Job Summary
A company is looking for a Pediatrician - Medical Director.
Key Responsibilities
- Provides program guidance and clinical expertise for Medical Management programs
- Engages in peer-to-peer discussions with network providers and others, as needed
- Reviews potential quality issues for corrective action and member cases for appropriateness of care
Required Qualifications, Training, and Education
- Medical Doctor Degree
- U.S. Citizenship
- Current unrestricted license to practice medicine in a state or territory of the United States
- Board Eligible or preferably Board Certified in Pediatrics
- 5+ years clinical practice experience and 3+ years medical management experience in a Managed Care environment
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